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General NPI Number Information
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NPI Number | 1710431945
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Entity Type | Individual
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Provider Name | VANESSA KING MS,RDN,CNSC,NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2499
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Country | US
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Telephone | 202-375-3701
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Fax |
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Provider Business Mailing Address
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Address Line | 77 KAIHOLU PL
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City | KAILUA
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State | HI
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Zip | 96734-1928
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Country | US
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Telephone | 202-375-3701
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | NU100000189
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 318-LD
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License Number State | HI
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